W016.04_Parker, James L._20040428 (2)

07/16/2004 15:50
3933205
WESTERN OFF
PAGE 05
Carteret
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
Health, and Natural Resources and the Coastal Resources Commission for development
In an area of environmental concern pursuant to Section 113A-116 of the
General Statutes, "Coastal Area Management. -
W016.04
ermit Number
issued to Jame L. Parker
authorizing development in at 158 Hgft:zriAn-1LQAnh-Bd- -
as requested in the permittee's Application dated
This permit, issued on— April 28, 2004 is subject to compliance with the application and site drawing (where consistent
with the permit), all appll:.able regulations and special conditions and notes set forth below. Any violation of these terms may subject
oermittee to a fine, Imprisonment or civil action; or may cause the permit to be null and void.
This permit is to construct the proposed addition of an exercise room on said property.
All proposed development and associated construction must be done in accordance with
permitted workplat drawing(s) as originally submitted or revised Andi 13, 2004.
Any change or changes in the plans for development, construction, or land use activities
will require a re-evaluation and modification of this permit.
Pursuant to 15NCAC, Subchapter 7J.0406(b) this permit may not be assigned,
transferred, sold or otherwise disposed to a third party.
This permit action may be appealed by the permittee or
other qualified persons within twenty (20) days of the issuing date.
From the date of an appeal, any work conducted underthis permit
must cease until the appeal is resolved.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
Any maintenpnco work or project modifications not covered
under this permit requires further written permit approval,
All work must cease when this permit expires on
Dece or 11 , 200-7
In issuing this permit it is agreed that thin project is 00n3l3-
tent with the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without
the written approval of the Division of Coastal Management.
Pormit- fficer ature)
Dalton Henry
Hams
701 Cedar Poi v
address
Cedar Point NC 2858
w
ermittee
(signature required if special conditions above apply to permit)

07/16/2004 15:50 3933205 WESTERN OFF PAGE 04
Locality 1
Permit Number 1: o • 0
J' � � � � .
GENERAL INFORMATION
LAND OWNER
Name aw, Ker
Address 8 /
�
City �fs-
StateC_� ?yip 5 7� Phone 2.5 "' u " o��
AUTHORIZED AGENT
Name -f3t4ma
Address CO (—
City Sw��t�rrrr-
State -�La _. zip Phone 2� �
LOCATION OF PROJECT
(If not oceanfront, is waterbody natural or manmade?) fir tzn
�cr oa� '�"v.�lC .a✓1� GxC�G1yG
DESCRIPTION OF PROJECT AAa
v� e-
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
_X Residential Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline) 'pro 4S�
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
r"a
SQUARE FOOTAGE OF SITE Z `� , 5 4 3 S �
OTHER PERMITS MAY BE REQUIRED:
The activity you are planning may require
permits other than the CAMA minor
development permit. As a service we have
compiled a listing of the kinds of permits that
might be required. We suggest you check
over the list with your LPO to determine if
any of these apply to your project.
Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
Burning, Electrical, Plumbing, Heating and
Air Conditioning, insulation and Energy
Conservation, FIA Certification, Sand Dune,
Sediment Control, Subdivision Approval,
Mobile Home Park Approval, Highway
Connection, and others.

07/16/2004 15:50 3933205 WESTERN OFF PAGE 08
sTATEMENT OF OWNERSHIP
I, the undersigned, an applicant for a CAMA minor development permit, begin either the owner of property in
an area of environmental concern or a person authorized to act as an agent for purposes of applying for a
CAMA minor development permit, certifydescribed
d therein. This interest hat the pmon listed as dndowner on ean be describehis d as follows: o(check orie)
nlficamt interest in the real property descn
an owner of record title, Title is vested in�� k= " �� Book - ° S
page q in the r +r.,' + County Registry of Deeds.
an owner by virtue of inheritance. Applicant is was iheir n
the estate of County.
proba
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore certify that the following persons are owners of properties adjoining this property. to �1 that
I
have given ACTUAL NOTICE to each of them concerning my imthis
tent to develop property pp.y for
a CAMA permit.
` (Name) (Addressju
)
t►,ar, (�) - - p�ry��, Tio�2.� ,� 1 i r� �2►�� , ! 2 ��
y(z) i"� 0 3�or.815
Bch- lad (3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This a,ppllcation includes: general information (this form), a site drawing as described on the back of this
plicatioh, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 made payable to
the locality, and any information as may be provided orally by the applicant. The details of the application as
described by these sources are incorporated without reference in any permit which may be issued*
ssued Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil, criminal and administrative action.
This the ,� 3�j�,- day of 9u,
LandJo :eror'person authorized toact as his agent
for pofMpg a CAMA permit application.

07/16/2004 15:50
3933205
WESTERN OFF
PAGE 06
eR I I �1J
9abmr Pme Rd nlc if". am
SITA'
Ib/rtn.rl emecrt Rd.
A"MM Demon
TOTAL .LOT AREA.
29,543 Sq. Ft.
(Cwd. Method)
EO' Mty Per M.B. 3 Pg. to-
es. Iron MPG
S 69.49 50149.prf�
'E
Ex. Rae PIP•
p�I
s6
CurNer
er a
N
N�
arm ^ .W
. �'Goor'...... '
-�
r7
I
R e aroea h
�-�
ui
• �
gaga'
Cj�
is ' Pros•
MOTES Orer.l
0.4' Acress Laf LG+e
y
PoeorFyw
I
1
I
— ao' Min. ales Lure
Ea iron PIP
O
P.e.r Pvl.
Ea. Conn Non. --�q
�. S 86'4t'lR9.30
'ilE' - a38.48' AlonOtiUo "
R/W To 3W(b R/W Of
Safer Pain Rd. Par
HOFF MY BE.4CA+ ROAD
Mew PwM' Pd. '----"—'
NOT J'OR MCOMINC
jo Q' 0 Vo
ORAAHI
I, vats D. PMlll&p�earMrrQby eer1H that MN m If cornet SURVEY FOR
.uretyly«� ih Cadftd ding
and that 4* o �t for LnaQ
e I�rwlde-enrwry► the tneroaehmento JAAES PARR
& ELLEN SE'RRACINO
mle ...... ',j, PL3 No. Zma Morthead Twep. REFERENee: Lot D BIeeN A
Ft' Q2. y ltt of Preclslen — l e10.000* Car tare► Cmonty "NOFFMAN oCACW Mop Book
•C` y ; Marth Carellee 3 rode IS Ca►toror
f4 SEAL rt = Stolle 1" 4C CeantY Registry
r- L-2640 tt -
�yy O. 'luee 23. 2003
A �suc�y�A' PATE PMUIPS and ASSOCIATES. P.A.
'i.�i1%. .. H,� 4M Ce►Aet► Ave. P.O. part 214
rrrr,rr�.prrrtl"t, $wansb'ro North Carolina
Protect Ro_ 03-121

PAGE 07
07/16/2004 15:50 3933205 WESTERN OFF
. I . . t
' Carteret"Couuty
Departinent of Planning
Courthouse Square
Beaufort, NC 28516-1898
[phone] Office [phone] Fax
Pursuant to NCGS 113A-119(b), Carteret County, a locality authorized to
issue CAMA permits in areas of environmental concern, hereb gives
notice that on , 1 04�
c� , fiL�
• applied for a CAMA permit to "' C,C�Yl � , r ,
• � rim � = ' _ - � � �"
The application may be inspected at the address below. Public comments
received by _ ai- C`A=� _ _ _ will be considered up to the timb of
permit decision. Project modifications may occur based oh furtMf MVi&
and comments. Notice of the permit decision in this matter will be provided
upon writteh request.
4/(-V
CAIVA L al Permit Officer
Carteret County
Central Pigl*q Of iicb
CourthoiISe Squats
Beaufort, NC 28616 ��Ja
Please publish on Q t (.,:p . Q4
and return Affidavit of Publication as
soon as possible-